Your Medicare Coverage
Is my test, item, or service covered?
Hearing & balance exams & hearing aids
How often is it covered?
Medicare Part B (Medical Insurance) covers diagnostic hearing and balance exams if your doctor or other health care provider orders these tests to see if you need medical treatment.
Medicare doesn't cover routine hearing exams, hearing aids, or exams for fitting hearing aids.
All people with Part B are covered.
Your costs in Original Medicare
- You pay 100% for routine exams and hearing aids.
- You pay 20% of the Medicare-approved amount for the doctor's services for covered exams, and the Part B deductible applies.
- In a hospital outpatient setting, you also pay the hospital a copayment.
To find out how much your specific test, item, or service will cost, talk to your doctor or other health care provider. The specific amount you’ll owe may depend on several things, like other insurance you may have, how much your doctor charges, whether your doctor accepts assignment, the type of facility, and the location where you get your test, item, or service.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.